To investigate the short-term and long-term effects of a 12-week motor skills intervention, including behavioural motivation techniques, on motor skills, physical activity, perceived motor competence and global self-worth in children with DCD.
ID
Source
Brief title
Condition
- Other condition
Synonym
Health condition
motorische retardatie
Research involving
Sponsors and support
Intervention
Outcome measures
Primary outcome
The main study parameters are:
- physical activity as assessed with a pedometer and parental proxi-reports
Secondary outcome
Secondary parameters are:
- motor skills as assessed with the MABC-II and the Developmental Coordination
Disorder Questionnaire 2007 (DCDQ 2007)
- perceived motor competence as assessed with the *Hoe ik
vind dat ik het doe* - questionnaire
- global self-worth as assessed with the Self Perception Profile for Children
Background summary
Children with Developmental Coordination Disorder (DCD) experience difficulties
in participation in daily life that require motor skills. Evidence suggests
task-oriented motor interventions to be beneficial for improving motor skills
in children with DCD. However, whether the newly learned motor skills lead to
an increase in the amount of physical activities has not been investigated yet.
Secondly, children with DCD are shown to have a lower perceived motor
competence compared to typically developing children, which in turn, is a
significant predictor of physical activity in children. Therefore, motor
interventions that (also) aim to increase perceived motor competence might
potentially be beneficial to improve both motor skills and physical activity in
children with DCD. Studies investigating a possible additional benefit of
focussing on a child*s perceived competence are currently lacking.
Study objective
To investigate the short-term and long-term effects of a 12-week motor skills
intervention, including behavioural motivation techniques, on motor skills,
physical activity, perceived motor competence and global self-worth in children
with DCD.
Study design
The study is a Clinical Controlled Trial (CCT). Assessors and paediatric
therapists that administer therapy as usual to the control group will be
blinded for treatment allocation.
Intervention
Children in the intervention group will receive twelve individual-tailored
treatment sessions of 30 minutes once a week. Treatment goals will be set for
each child individually based upon structured assessment of the child*s motor
skills and perceived motor competence. A variety of functional tasks and gross
motor play activities will be given to enhance motor skills. During
intervention sessions, behavioural motivation techniques will be used in order
to enhance children*s perceived motor competence and physical activity. All
participating therapists will receive special training before intervention.
Children in the control group will receive care as usual for twelve treatment
sessions of 30 minutes once a week.
Study burden and risks
Extent of the burden: the patients in the intervention group and control group
have to participate in a tailored intervention program once a week, 30 minutes
per treatment session for 12 treatment sessions. A variety of functional tasks
and playful exercises will be given to enhance motor skills. During
intervention sessions behavioural motivation techniques will be used.
Furthermore, the above mentioned tests will be administered at 3 time points.
Risks: from the existing literature motor interventions are safe in children
with DCD, no accidents or negative side-effects have been reported.
Benefit: evidence from studies of task-oriented motor interventions suggests a
positive effect on motor skills in children with DCD. It is hypothesized that
an individual tailored motor intervention program that uses additional
behavioural motivation techniques will increase motor skills, physical
activity, perceived motor competence and global self-worth in children with
DCD.
Lundlaan 6
Utrecht 3584EA
NL
Lundlaan 6
Utrecht 3584EA
NL
Listed location countries
Age
Inclusion criteria
-Children referred to paediatric therapy by a general practitioner or school medical officer;
-Score on a standardised test of motor skills performance (MABC-II) below 16th percentile;
-An indication of DCD or suspected DCD on the Developmental Coordination Disorder Questionnaire 2007 as experienced by parents;
-A score below the advised amount of daily steps for children (boys < 15000; girls < 12000) on a pedometer (Yamax CW700);
-Age between 7 and 10;
-Parental informed consent and child verbal assent;
-No known neurological disorders causing motor problems (e.g. cerebral palsy, spina bifida etc.).
Exclusion criteria
-Insufficient understanding of the Dutch language;
-Children with only a low score (< 16th percentile) on the subscale manual dexterity of the MABC-II.
Design
Recruitment
Followed up by the following (possibly more current) registration
No registrations found.
Other (possibly less up-to-date) registrations in this register
No registrations found.
In other registers
| Register | ID |
|---|---|
| CCMO | NL43890.041.13 |